Feyikemi Faniyi
Individual provider Active NPI Registered Nurse · Roosevelt, NY
NPI 1760065007 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1760065007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 814186 (NY)
- Practice address
- 109 Mirin Ave
Roosevelt, NY 11575-1619 - Phone
- (347) 828-2135
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814186 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 814186 | NY | Yes |
Addresses
Primary practice location
109 Mirin Ave
Roosevelt, NY 11575-1619
Mailing address
109 Mirin Ave
Roosevelt, NY 11575-1619
Phone (347) 828-2135
Other providers in Roosevelt, NY
- Durga Mata RX Inc
- Catherine Dusel
- Diavonni Kimberley Blythe Edington
- Vanessa Edmond
- Rocio Yuliana Estrella
- Barbara Feldman
- Ashley Esmeralda Fernandez
- Deisy Del Rosario Fernandez
- Marie Ferol
- Lisa Ferrara
All providers in Roosevelt, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.